Discover and read the best of Twitter Threads about #RegionalAnesthesia
Most recents (24)
1/
Second day of @Smart_Meeting_M
Professor @giovannilandoni talking about management of #anticoagulant in #perioperative patients 💉
✅You surely all know how to deal with #antithrombotic and #regionalanesthesia, here the guidelines:
pubmed.ncbi.nlm.nih.gov/34980845/
#FOAMed #FOAMcc
Second day of @Smart_Meeting_M
Professor @giovannilandoni talking about management of #anticoagulant in #perioperative patients 💉
✅You surely all know how to deal with #antithrombotic and #regionalanesthesia, here the guidelines:
pubmed.ncbi.nlm.nih.gov/34980845/
#FOAMed #FOAMcc
2/
💡Let's focus on perioperative #DOAC /#NOAC / #TSOAC
➡️Consider both #surgical blood loss risk and #patient characteristics.
⚠️Remember NOT to bridge with #LMWH or #UFH.
pubmed.ncbi.nlm.nih.gov/33895845/
💡Let's focus on perioperative #DOAC /#NOAC / #TSOAC
➡️Consider both #surgical blood loss risk and #patient characteristics.
⚠️Remember NOT to bridge with #LMWH or #UFH.
pubmed.ncbi.nlm.nih.gov/33895845/
3/
What if it's not an elective patient??
Use #reversal agents when needed❗
🔹#Idarucizumab for #dabigatran
🔹#Andexanet for #apixaban and #rivaroxaban
💡#Prothrombin complex concentrates in addiction
pubmed.ncbi.nlm.nih.gov/36988142/
What if it's not an elective patient??
Use #reversal agents when needed❗
🔹#Idarucizumab for #dabigatran
🔹#Andexanet for #apixaban and #rivaroxaban
💡#Prothrombin complex concentrates in addiction
pubmed.ncbi.nlm.nih.gov/36988142/
Coming soon, An #RAUKISURA22 🧵 on our Bruce Scott Lecturer @colinjmccartney & his Favourite Five Publications!
Watch this space!
#RegionalAnesthesia
#McCartneysFavouriteFive
Watch this space!
#RegionalAnesthesia
#McCartneysFavouriteFive
Ok- its time to start our #RAUKISURA22 Bruce Scott Lecturer. @colinjmccartney ‘s series of #McCartneysFavouriteFive papers
Here is Number 5
Available here- pubmed.ncbi.nlm.nih.gov/15277930/
The purpose of this study was to determine whether either regional anesthesia (RA) or general anesthesia (GA) provided the best analgesia with the fewest adverse effects up to 2 weeks after ambulatory hand surgery.
Available here- pubmed.ncbi.nlm.nih.gov/15277930/
The purpose of this study was to determine whether either regional anesthesia (RA) or general anesthesia (GA) provided the best analgesia with the fewest adverse effects up to 2 weeks after ambulatory hand surgery.
So I was wondering today, as an eternal student, a regional anaesthetist,and Past @RegionalAnaesUK president - what would make me want to attend #RAUKISURA22 on the 5-7th May 2002 in Edinburgh? So - Here Comes a mini thread!
@RegionalAnaesUK has been working hard to change the way we deliver education in #RegionalAnaesthesia
Check out some of highlights from #RAUK19 in Belfast organised by @LloydTurbitt @rosie_hogg @PeterMerjavy @davejohnston24 & Mike Jones ra-ukmeetings.com/past-events
Check out some of highlights from #RAUK19 in Belfast organised by @LloydTurbitt @rosie_hogg @PeterMerjavy @davejohnston24 & Mike Jones ra-ukmeetings.com/past-events
The Belfast meeting was the first time we used on stage symposia to bring an engaging feel to the event, & the first time we had such a North American & Canadian presence at our meeting + #POCUS with @KiJinnChin , @shaskinsMD , @SLKoppMD, @JanBoublikMDPhD
In the run up to #RAUK21 -5-6th May 2021 ,& to introduce some of the many publications of our Bruce Scott Lecturer @EMARIANOMD - I thought I’d start tweeting 10 of his papers to get you inspired about #RegionalAnaesthesia #RegionalAnesthesia - I’ll add them all to this thread...
In the first of 10 of @EMARIANOMD‘s papers, lets start by looking at this one on Continuous interscalene brachial plexus block via an ultrasound-guided Posterior approach #RAUK21 #MarianoTopTen 1/10
ncbi.nlm.nih.gov/pubmed/1937235…
insights.ovid.com/anesthesia-ana…
ncbi.nlm.nih.gov/pubmed/1937235…
insights.ovid.com/anesthesia-ana…
The second of 10 of @EMARIANOMD’s papers is on #PedAnes! This paper is on the Feasibility of ultrasound-guided peripheral nerve block catheters for pain control on pediatric medical missions in developing countries. #RAUK21 #MarianoTopTen 2/10
ncbi.nlm.nih.gov/pmc/articles/P…
ncbi.nlm.nih.gov/pmc/articles/P…
Hey it's the 28th day of #blocktober!! Today we're talkin' ESP blocks--anatomy, mechanism, technique & tips. ESP seems to be quite versatile, & comparative studies show comparable effect to many other block techniques, while being easy and safe. What are your thoughts? #DukeRAP
Here's our curated reading list for ESP!
pubmed.ncbi.nlm.nih.gov/27501016/
pubmed.ncbi.nlm.nih.gov/28272292/
pubmed.ncbi.nlm.nih.gov/31033625/
pubmed.ncbi.nlm.nih.gov/32817407/
pubmed.ncbi.nlm.nih.gov/31677656/
pubmed.ncbi.nlm.nih.gov/29746445/
pubmed.ncbi.nlm.nih.gov/31658293/
#blocktober #DukeRAP #FOAMed #RegionalAnesthesia
pubmed.ncbi.nlm.nih.gov/27501016/
pubmed.ncbi.nlm.nih.gov/28272292/
pubmed.ncbi.nlm.nih.gov/31033625/
pubmed.ncbi.nlm.nih.gov/32817407/
pubmed.ncbi.nlm.nih.gov/31677656/
pubmed.ncbi.nlm.nih.gov/29746445/
pubmed.ncbi.nlm.nih.gov/31658293/
#blocktober #DukeRAP #FOAMed #RegionalAnesthesia
And here's the video for ESP blocks. Really interested to your thoughts--are you using this? For what? Successes and failures? #blocktober #DukeRAP #FOAMEd #RegionalAnesthesia @SreeHPraveenKO1 @kaohesham @sanjibadhikary @Ropivacaine
Happy Monday, #blocktober friends! Today we discuss the femoral and lateral femoral cutaneous nerve blocks--we use these for lower limb trauma, ACL repair, and amputation, as well as the occasional complex TKA patient. How about you? #DukeRAP #RegionalAnesthesia #FOAMed
Here's our curated reading list for femoral and LFCN. #blocktober #DukeRAP #RegionalAnesthesia #FOAMed @RCoANews @ESRA_Society
pubmed.ncbi.nlm.nih.gov/31596943/
pubmed.ncbi.nlm.nih.gov/32270488/
pubmed.ncbi.nlm.nih.gov/30774226/
pubmed.ncbi.nlm.nih.gov/27836905/
pubmed.ncbi.nlm.nih.gov/32842722/
pubmed.ncbi.nlm.nih.gov/29381568/
pubmed.ncbi.nlm.nih.gov/31596943/
pubmed.ncbi.nlm.nih.gov/32270488/
pubmed.ncbi.nlm.nih.gov/30774226/
pubmed.ncbi.nlm.nih.gov/27836905/
pubmed.ncbi.nlm.nih.gov/32842722/
pubmed.ncbi.nlm.nih.gov/29381568/
And here's the video for femoral and LFC nerve blocks...enjoy! #blocktober #DukeRAP #RegionalAnesthesia #FOAMed
Happy #Blocktober 24th! Let's talk parasternal blocks! Multiple names/approaches but essentially one deep and one superficial--both block the ant. cutaneous IC nerves, and benefit breast, cardiac & trauma patients. What are your thoughts on these? #DukeRAP #RegionalAnesthesia
Here's our curated reading list for parasternal blocks! #Blocktober #DukeRAP #FOAMEd #RegionalAnesthesia @RCoANews
pubmed.ncbi.nlm.nih.gov/32032103/
pubmed.ncbi.nlm.nih.gov/28203723/
pubmed.ncbi.nlm.nih.gov/28632672/
pubmed.ncbi.nlm.nih.gov/27001634/
pubmed.ncbi.nlm.nih.gov/29293481/
pubmed.ncbi.nlm.nih.gov/32859487/
pubmed.ncbi.nlm.nih.gov/32032103/
pubmed.ncbi.nlm.nih.gov/28203723/
pubmed.ncbi.nlm.nih.gov/28632672/
pubmed.ncbi.nlm.nih.gov/27001634/
pubmed.ncbi.nlm.nih.gov/29293481/
pubmed.ncbi.nlm.nih.gov/32859487/
Hey y'all, it's the 22nd day of #blocktober! Today we're discussing a staple of upper limb blockade, the supraclavicular brachial plexus block. The "spinal of the arm", this workhorse is a go-to for everything from shoulder to digit surgery. #DukeRAP #FOAMEd #RegionalAnesthesia
Here's our curated reading list for supraclavicular brachial plexus block #DukeRAP #Blocktober #RegionalAnesthesia #FOAMEd
pubmed.ncbi.nlm.nih.gov/30916000/
pubmed.ncbi.nlm.nih.gov/30929761/
pubmed.ncbi.nlm.nih.gov/28755885/
pubmed.ncbi.nlm.nih.gov/22783706/
pubmed.ncbi.nlm.nih.gov/19587618/
pubmed.ncbi.nlm.nih.gov/29746446/
pubmed.ncbi.nlm.nih.gov/30916000/
pubmed.ncbi.nlm.nih.gov/30929761/
pubmed.ncbi.nlm.nih.gov/28755885/
pubmed.ncbi.nlm.nih.gov/22783706/
pubmed.ncbi.nlm.nih.gov/19587618/
pubmed.ncbi.nlm.nih.gov/29746446/
And here's the video for supraclavicular brachial plexus block...enjoy! #DukeRAP #blocktober #RegionalAnesthesia #FOAMed @ESoffin @VeenaGraffMD @SreeHPraveenKO1 @kaohesham @garyschwartzmd @Nadia_Hdz_MD @elboghdadly @DukeMedSchool @ebmalinzakMD
It's the 21st day of #Blocktober ! Today we discuss ways to stay out of trouble--and more specifically, out of the nerve. Needle-nerve contact is known to cause inflammation and injury, and we can use several monitors to prevent getting too close. #DukeRAP #RegionalAnesthesia
Here's our curated reading list for monitoring to prevent injury during peripheral nerve blockade #DukeRAP #blocktober
pubmed.ncbi.nlm.nih.gov/30133695/
pubmed.ncbi.nlm.nih.gov/31124620/
pubmed.ncbi.nlm.nih.gov/31272653/
pubmed.ncbi.nlm.nih.gov/24413417/
pubmed.ncbi.nlm.nih.gov/26650431/
pubmed.ncbi.nlm.nih.gov/28092318/
pubmed.ncbi.nlm.nih.gov/30133695/
pubmed.ncbi.nlm.nih.gov/31124620/
pubmed.ncbi.nlm.nih.gov/31272653/
pubmed.ncbi.nlm.nih.gov/24413417/
pubmed.ncbi.nlm.nih.gov/26650431/
pubmed.ncbi.nlm.nih.gov/28092318/
Yo yo, it's the 19th of #blocktober, and that means rectus sheath blocks! This old school technique has enjoyed a resurgence and is now part of some of our ERAS pathways for abdominal cases with midline incisions. Also a fave for urgent ex-laps when TEA contraindicated. #DukeRAP
Here's our curated reading list for rectus sheath block!
pubmed.ncbi.nlm.nih.gov/16798774/
pubmed.ncbi.nlm.nih.gov/26414363/
pubmed.ncbi.nlm.nih.gov/19587624/
pubmed.ncbi.nlm.nih.gov/28085788/
pubmed.ncbi.nlm.nih.gov/29932584/
pubmed.ncbi.nlm.nih.gov/16798774/
pubmed.ncbi.nlm.nih.gov/26414363/
pubmed.ncbi.nlm.nih.gov/19587624/
pubmed.ncbi.nlm.nih.gov/28085788/
pubmed.ncbi.nlm.nih.gov/29932584/
And here's the video for rectus sheath block...enjoy! #Blocktober #DukeRAP #RegionalAnesthesia #RegionalAnaesthesia
Good morning #blocktober friends! On our 19th day we'll discuss the suprainguinal fascia iliaca (#SIFI), a useful technique that confers quality analgesia and improves outcomes for patients with hip fracture. We also use it for THA. What are you using this for? #DukeRAP #FOAMEd
Here's our curated reading list for fascia iliaca block! #DukeRAP #blocktober #RegionalAnesthesia
pubmed.ncbi.nlm.nih.gov/21401544/
pubmed.ncbi.nlm.nih.gov/31272654/
pubmed.ncbi.nlm.nih.gov/27943417/
pubmed.ncbi.nlm.nih.gov/30250982/
pubmed.ncbi.nlm.nih.gov/31791559/
pubmed.ncbi.nlm.nih.gov/31791559/
pubmed.ncbi.nlm.nih.gov/21401544/
pubmed.ncbi.nlm.nih.gov/31272654/
pubmed.ncbi.nlm.nih.gov/27943417/
pubmed.ncbi.nlm.nih.gov/30250982/
pubmed.ncbi.nlm.nih.gov/31791559/
pubmed.ncbi.nlm.nih.gov/31791559/
It's the 15th day of #blocktober! Today we're discussing ultrasound guided blocks of the nerves in the distal upper extremity: median, ulnar and radial. Great for hand surgery and also as a rescue block. What are you using these for? Enjoy! #DukeRAP #RegionalAnesthesia #FOAMEd
Here's our curated reading list for distal upper extremity blocks #blocktober #DukeRAP #FOAMEd #RegionalAnesthesia
Good morning #blocktober friends! Today we'll discuss the serratus plane block, another fascial plane block of the chest wall that we primarily use for rib fractures, but also has utility for a variety of other chest wall procedures. #DukeRAP #RegionalAnesthesia #FOAMEd
Here's our curated reading list for #serratus plane block #blocktober #DukeRAP #FOAMEd #RegionalAnesthesia
Happy 13th of #blocktober everyone! Today we're taking it back to basics: peripheral nerve anatomy. It's important to have a clear understanding of the structural of peripheral nerves in order to perform nerve blocks as safely as possible. Enjoy! #DukeRAP #RegionalAnesthesia
Here's our curated reading list for peripheral nerve anatomy and injury:
pubmed.ncbi.nlm.nih.gov/442943/
pubmed.ncbi.nlm.nih.gov/14933806/
pubmed.ncbi.nlm.nih.gov/11171467/
pubmed.ncbi.nlm.nih.gov/23921658/
pubmed.ncbi.nlm.nih.gov/22705953/
pubmed.ncbi.nlm.nih.gov/442943/
pubmed.ncbi.nlm.nih.gov/14933806/
pubmed.ncbi.nlm.nih.gov/11171467/
pubmed.ncbi.nlm.nih.gov/23921658/
pubmed.ncbi.nlm.nih.gov/22705953/
And here's the video lecture on peripheral nerve anatomy
Hey it's the 12th day of #blocktober and we're talking PECS blocks--a very useful fascial plane technique that's been shown to improve recovery and provide comparable analgesia to paravertebral blockade. What's been YOUR experience? Chime in! #DukeRAP #RegionalAnesthesia
Day 8 of #Blocktober!! Today we discuss the popliteal-sciatic block, specifically where to place the needle to achieve the best success. As we know, some controversy still exists with the nomenclature... #DukeRAP #RegionalAnesthesia
And here is the link to the video for popliteal-sciatic nerve block needle placement. #Blocktober #DukeRAP #RegionalAnesthesia #MedEd @Duke_Anesthesia @ASRA_Society
We're a full week into #Blocktober!! For Day 7, we discuss the interscalene brachial plexus block, an old-school block that remains a go-to for shoulder, clavicle and upper arm surgery. We also share some tips for minimizing the risk 4 complications. #DukeRAP #RegionalAnesthesia
And here's our curated reading list for Interscalene #Blocktober #DukeRAP #RegionalAnesthesia
pubmed.ncbi.nlm.nih.gov/5534420/
pubmed.ncbi.nlm.nih.gov/26335906/
pubmed.ncbi.nlm.nih.gov/25742631/
pubmed.ncbi.nlm.nih.gov/23080352/
pubmed.ncbi.nlm.nih.gov/32471922/
@MKwesiKwofie @szerbj
pubmed.ncbi.nlm.nih.gov/5534420/
pubmed.ncbi.nlm.nih.gov/26335906/
pubmed.ncbi.nlm.nih.gov/25742631/
pubmed.ncbi.nlm.nih.gov/23080352/
pubmed.ncbi.nlm.nih.gov/32471922/
@MKwesiKwofie @szerbj
And here's the video for the interscalene brachial plexus block. #Blocktober #DukeRAP #RegionalAnesthesia #FOAMed #MedEd
PENG block:
1. an alternative to femoral or fascia iliac block for hip pain
2. motor sparing
3. simple to perform
4. if you can do a femoral block you can do a PENG block
@EMARIANOMD @jeffgadsden @amit_pawa #Blocktober #regionalanesthesia #ANES20 #MedEd #FOAMed
1. an alternative to femoral or fascia iliac block for hip pain
2. motor sparing
3. simple to perform
4. if you can do a femoral block you can do a PENG block
@EMARIANOMD @jeffgadsden @amit_pawa #Blocktober #regionalanesthesia #ANES20 #MedEd #FOAMed
Some pertinent anatomy.
Where do you put the local? Just deep to the psoas tendon which is visualized on the ramus, creating a nice pool
#Blocktober keeps on rollin! Today, we're doing Mythbusters, #DukeRAP style, and taking a hard look at the long-held dogma of "never use epinephrine in digital blocks". Is it real? What's the evidence of harm or benefit? #regionalanesthesia #ANES20 #MedEd #FOAMed
Here's some background reading on the issue:
pubmed.ncbi.nlm.nih.gov/18687842/
pubmed.ncbi.nlm.nih.gov/12655238/
pubmed.ncbi.nlm.nih.gov/20697319/
pubmed.ncbi.nlm.nih.gov/15523354/
#blocktober #regionalanesthesia #ANES20
pubmed.ncbi.nlm.nih.gov/18687842/
pubmed.ncbi.nlm.nih.gov/12655238/
pubmed.ncbi.nlm.nih.gov/20697319/
pubmed.ncbi.nlm.nih.gov/15523354/
#blocktober #regionalanesthesia #ANES20
And here's the video discussion: Mythbusters: Never use epinephrine with digital blocks. Agree? Disagree? #Blocktober #ANES20 #regionalanesthesia #MedEd #FOAMed
Good morning #blocktober people! Today we're talking all things RAPTIR (Retroclavicular Approach to the Infraclavicular Region)! What are your experiences with this block? Love it? Hate it? Haven't tried it? Post your opinions! #DukeRAP #RAPTIR #ANES20 #FOAMed #Regionalanesthesia
Here is our curated reading list of #RAPTIR articles.
pubmed.ncbi.nlm.nih.gov/26222346/
pubmed.ncbi.nlm.nih.gov/29923952/
pubmed.ncbi.nlm.nih.gov/31656165/
pubmed.ncbi.nlm.nih.gov/30857608/
pubmed.ncbi.nlm.nih.gov/26488085/
pubmed.ncbi.nlm.nih.gov/26222346/
pubmed.ncbi.nlm.nih.gov/29923952/
pubmed.ncbi.nlm.nih.gov/31656165/
pubmed.ncbi.nlm.nih.gov/30857608/
pubmed.ncbi.nlm.nih.gov/26488085/
And here's a video discussing the pros, the cons, the good, bad and ugly, along with some tips and tricks for RAPTIR success #RAPTIR #blocktober #FOAMed #ANES20 #regionalanesthesia #meded
On day 3 of #blocktober, we're changing gears to focus on the basics. One of my favorite parts of academics is watching a fledgling anesthesia resident grow their ultrasound skills over the course of the block month! #MedEd #DukeRAP
Here is a curated list of some key #MedEd #regionalanesthesia articles:
pubmed.ncbi.nlm.nih.gov/22354107/
pubmed.ncbi.nlm.nih.gov/15635513/
pubmed.ncbi.nlm.nih.gov/17350520/
@Duke_Anesthesia @stanfordanes @ASRA_Society @ASALifeline @SEAnesHQ
pubmed.ncbi.nlm.nih.gov/22354107/
pubmed.ncbi.nlm.nih.gov/15635513/
pubmed.ncbi.nlm.nih.gov/17350520/
@Duke_Anesthesia @stanfordanes @ASRA_Society @ASALifeline @SEAnesHQ
It takes PRACTICE to achieve competency. In fact, @barringtonmj showed it takes 28 trials of the SAME block with immediate DELIBERATE FEEDBACK to reach competency. So take a breath, look down at your hands, and be systematic to find your needle tip!
It's Day 2 of #blocktober ! Thanks for the amazing engagement yesterday!! Today we're drilling down on the adductor canal block and how best to maximize efficacy and safety. Our technique has changed over the years..has yours? #DukeRAP #FOAMed #MedEd #Regionalanesthesia
Here are some articles on the anatomy of the adductor canal at the mid-thigh + the vastoadductor membrane and its role in separating the two nerves.
pubmed.ncbi.nlm.nih.gov/32434793/
pubmed.ncbi.nlm.nih.gov/17618402/
pubmed.ncbi.nlm.nih.gov/27685346/
pubmed.ncbi.nlm.nih.gov/27015545/
pubmed.ncbi.nlm.nih.gov/27871547/
pubmed.ncbi.nlm.nih.gov/32434793/
pubmed.ncbi.nlm.nih.gov/17618402/
pubmed.ncbi.nlm.nih.gov/27685346/
pubmed.ncbi.nlm.nih.gov/27015545/
pubmed.ncbi.nlm.nih.gov/27871547/
And here's a video where we share our thoughts on how to: A) not injure the nerve to vastus medialis and B) make sure we block it effectively when performing adductor canal blocks. #DukeRAP #Blocktober
#meded #Thread @nelkassabany starts #AnesGR with his take home points:
➡️ Always think about adding value
➡️ Measure outcomes that matter to patients
➡️ Involve all stakeholders
➡️ Bust silos
#medthread #regionalanesthesia
➡️ Always think about adding value
➡️ Measure outcomes that matter to patients
➡️ Involve all stakeholders
➡️ Bust silos
#medthread #regionalanesthesia
#regionalanesthesia takes commitment!
@nelkassabany quotes @aboezaart1: "A block is not a one night stand..."
@nelkassabany quotes @aboezaart1: "A block is not a one night stand..."
Developing a comprehensive enhanced recovery protocol means considering all phases of patient care. Patient education and engagement are key!
See free materials from @ASRA_Society here: asra.com/page/40/patien…
See free materials from @ASRA_Society here: asra.com/page/40/patien…
In the run up to #RAUK20 -18-19th May 2020,& to introduce some of the many publications of our Bruce Scott Lecturer @EMARIANOMD - I thought I’d start tweeting 10 of his papers to get you inspired about #RegionalAnaesthesia #RegionalAnesthesia - I’ll add them all to this thread...
In the first of 10 of @EMARIANOMD‘s papers, lets start by looking at this one on Continuous interscalene brachial plexus block via an ultrasound-guided Posterior approach #RAUK20 #MarianoTopTen 1/10
ncbi.nlm.nih.gov/pubmed/1937235…
insights.ovid.com/anesthesia-ana…
ncbi.nlm.nih.gov/pubmed/1937235…
insights.ovid.com/anesthesia-ana…
The second of 10 of @EMARIANOMD’s papers is on #PedAnes! This paper is on the Feasibility of ultrasound-guided peripheral nerve block catheters for pain control on pediatric medical missions in developing countries. #RAUK20 #MarianoTopTen 2/10
ncbi.nlm.nih.gov/pmc/articles/P…
ncbi.nlm.nih.gov/pmc/articles/P…
